Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
JAMES GARTNER & ASSOCIATES
lives INSURANCE NOT ON FILE WORr:WORK MAY NOT PROCEED CLFF;CLERK OF COUNCIL DATE, DATE: A-2021-118-02 AGREEMENT WITH JAMES GARTNER & ASSOCIATES, ARCHITECTS, INC., a'. PM(ovow-km TO PROVIDE PRE -APPROVAL ACCESSORY DWELLING UNIT PLANS rom5-J "t THIS AGREEMENT is made and entered into on this 6th day of July, 2021 by and between James Gartner & Associates, Architects, Inc., a California corporation, ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. On January 27, 2021, the City issued Request for Proposal 21-001 ("RFP") seeking proposals from qualified vendors to create and develop five accessory dwelling unit building plan sets for expedited permit processing and construction. B. Consultant is one of two vendors to timely submit a responsive proposal, which was selected by the City. Consultant represents that it is able and willing to provide such services to the City as described in the RFP and Consultant's proposal, which are incorporated by reference as though fully attached hereto. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Consultant under this Agreement. Consultant shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. The total compensation provided by all consultants selected under REP 2021-001 to perform shall not exceed an aggregate amount of $215,000 during the term of the Agreement, including any extension periods. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. Pagel of 8 3. TERM This Agreement shall commence on the date first written above and continue for a three- year term until July 5, 2024, with the option for the City to grant up to one (t) two (2) year renewal, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 15, below. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent Consultant and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement ("Documents & Data"). Consultant shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 6. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of Page 2 of 8 insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. C. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the Labor Code, Contractor, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self- insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Consultant is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim with $2,000,000 in the aggregate. C. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: i. Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. ii. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. iii. Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. iv. Where the amounts or coverage provided by the certificates of insurance provides coverage greater than those listed by this Agreement, the amounts provided by the certificates of insurance shall be incorporated by reference into the Agreement. V. Consultant shall supply City with a fully executed additional insured endorsement. f. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Contractor's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. Page 3 of 8 7. INDEMNIFICATION Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. 9. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. Page 4 of 8 10. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information' shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 12. NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. Page 5 of 8 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. JURISDICTION- VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 18. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and Page 6 of 8 in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 19. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Executive Director, Planning & Building Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, California 92702 Fax:714-647-5897 To Consultant: James Gartner & Associates, Architects, Inc. 2036 N. Broadway Santa Ana, CA 92706 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. Page 7 of 8 20. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. The Agreement is the final and complete agreement and any prior or contemporaneous agreements for similar services between the parties is superseded by this Agreement. This shall not apply where the Parties are currently engaged and Consultant is providing services not contemplated by this Agreement C. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: aisy Gomez Jerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City By: Rya Assi RECOMMENDED FOR APPROVAL: Minh Thai Executive Director Planning & Building Agency CITY OF SANTA ANA --5-- Rk-, -a Kristine Ridge City Manager CONSULTANT: ew BY James R. Gartner Title President, James Gartner & Associates Architects, Inc. Page 8 of 8 EXHIBIT A SCOPE OF SERVICES Exhibit A IS GARTNER 8 ASSOCIATE H 1- F C- S y February 26, 2021 RE: RFP No. 21-001 1-F.. �N +_ yfR'�11 a AV $� il,'r .�.acx€ `'Y£�Tiaa .N' ..:� .�i,.n _ :r.1, .,�-. kS 4.sY°t2 ��,��.' Proposed Approach: The Principle in Charge, James Gartner, along with our Sr. Architect / Project Manager will meet with city staff to kick-off the design process. We will develop prototypical site plans and floor plans of the five ADU project types for discussion with staff. James Gartner will lead the design concepts and coordination with city staff. Our two project managers, Roger Mondragon and Sisi Qian, will lead the presentation renderings and assist with final plans. Our Sr. Project Architect, Glen Kanzelmeyer, will handle code research and final plans. Managing Resources: We have a unique team within our firm with multiple talents. James Gartner, Principal in Charge & Sisi Qian, Project Manager, typically lead the preliminary design work. Roger Mondragon, Project Manager, is also an excellent designer and very talented with construction documents. Glen Kanzelmeyer, Sr. Project Architect, is a licensed professional and an expert at code research and the development of final construction documents. Project Schedule (anticipated target dates): Award Date: Contact City Staff / Planning: Contract Preparation: Meet with City Staff: Preliminary Design: Design Development: Design Development Review: Final Plans: Internal City Review: Plan updates per City Review April 201h, 2021 April 211t, 2021 April 211h, 2021—April 27th, 2021 April 27th, 2021 April 281h, 2021—June 15th, 2021 June 15th, 2021—July 15th, 2021 July 15th, 2021—August 15th, 2021 August 15th — November 111, 2021 November 1st — December 1st, 2021 December 1st— December 151h, 2021 EXHIBIT B COMPENSATION Fee Proposal including hourly rates if applicable Exhibit B JG'k JAAIES GARTNER & ASSOCIATES, 4 R C H I- f C 'I - Cost Proposal Conversion Meetings with Staff (Prelim / Final Plans) $ 1,500.00 Preliminary Design $ 2,500.00 Design Development $ 1,500.00 Construction Documents - Final Plans per RFP $ 9,500.00 Structural Plans / Calculations $ 6,325.00 Energy Calculations / Forms $ 1,000.00 Meetings with Staff to Finalize Plan Sets $ 1,000.00 Sub Total $ 23,325.00 Renderings for Publication $ 1,500.00 Total - Garage Conversion: $ 24,825.00 Studio Meetings with Staff (Prelim / Final Plans) $ 1,500.00 Preliminary Design $ 4,500.00 Design Development $ 2,000.00 Construction Documents - Final Plans per RFP $ 11,500.00 Structural Plans / Calculations $ 6,900.00 Energy Calculations / Forms $ 1,000.00 Meetings with Staff to Finalize Plan Sets $ 1,000.00 Sub Total $ 28,400.00 Renderings for Publication $ 2,500.00 Total - Studio: $ 30,900.00 11 One Bedroom Meetings with Staff (Prelim / Final Plans) $ 1,500.00 Preliminary Design $ 5,500.00 Design Development $ 2,000.00 Construction Documents - Final Plans per RFP $ 13 000.00 Structural Plans / Calculations $ 7,475.00 Energy Calculations / Forms $ 1,000.00 Meetings with Staff to Finalize Plan Sets $ 1,000.00 Sub Total $ 31,475.00 Renderings for Publication $ 3,000.00 Total - One Bedroom: $ 34,475.00 Two Bedroom Meetings with Staff (Prelim / Final Plans) $ 1,500.00 Preliminary Design $ 6,500.00 Design Development $ 2,000.00 Construction Documents - Final Plans per RFP $ 15,000.00 Structural Plans / Calculations $ 7,820.00 Energy Calculations / Forms $ 1,000.00 Meetings with Staff to Finalize Plan Sets $ 1,000.00 Sub Total $ 34,820.00 Renderings for Publication $ 3,000.00 Total - Two Bedroom: $ 37,820.00 2 Three Bedroom Meetings with Staff (Prelim / Final Plans) Preliminary Design Design Development Construction Documents - Final Plans per RFP Structural Plans / Calculations Energy Calculations / Forms Meetings with Staff to Finalize Plan Sets Sub Total Renderings for Publication Total - Three Bedroom: $ 1,500.00 $ 7,500.00 $ 3,000.00 $ 20,000.00 $ 9,085.00 $ 1,000.00 $ 1,000.00 $ 43,085.00 $ 3,500.00 $ 46,585.00 Future modifications to already completed protoypical plans are not included in the fixed fees. Modifications will be prepared on an hourly basis. Hourly Rates: Principal $ 225.00 /hr. Sr. Project Architect $ 175.00 /hr. Project Manager $ 155.00 /hr. Job Captain $ 135.00 /hr. Structural Engineering Consultant: Langston & Associates 603 N. Parkcenter Dr., Ste. 108 Santa Ana, CA 92705 Energy Consultant: CRO Engineering 18652 Florida Street, Suite 100 Huntington Beach, CA 92648 3 Digitally sig ned by Francine R. Francine R. Villareal Villareal Date- 2021 09 02 JAMES-5 D 08/10TE /2021 Y) 08/10/2021 ,d►coRo CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 909-890-9707 Unickel & Associates Insurance Unickel & Assoc. Lic#0827703 CONTACT Amanda Leal NAME: PHONE 909-890-9707 FAX 909-890-9237 (A/C, No, EXt): (A/C, No): E-MAIL Aleal@unickelinsurance.com ADDRESS: P.O. Box 10727 San Bernardino, CA 92423-0727 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Company INSURED James Gartner & Associates INSURER B : 2036 N. Broadway INSURER C 7 INSURER D Santa Ana, CA 92706 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR x B 6093910461 04/14/2021 04/14/2022 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 $ MED EXP (Anyoneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO - El ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO X B 6093910461 04/14/2021 04/14/2022 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Property Section B 6093910461 04/14/2021 04/14/2022 BPP 97,248 Ded 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, employees, agents and representatives are Additional Insured in regards to General Liability & Hired and Non -Owned Auto per the attached endorsements. Primary & Non -Contributory wording applies. * 30 days notice of cancellation, except 10 days notice of cancellation for non-payment of premium. CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y of ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Risk J(�[ REVIEWED & APPROVm BY. D & APPROVED BY.- ACORD 25 (2016/03) © 1988-2015 ACORD C 'LSiflllfL' �rs•e, �� The ACORD name and logo are registered marks of ACORD `' Risk Management Analyst POLICY NUbMER INSURED NAME AND ADDRESS B 5093910461 Gartner Names & Associates Architects 2036 N BROADWAY SANTA ANA CA 92706 00 POLICY CHANGES ENDORSEMENT EFFECTIVE 5/5/2021 This Change Endorsement changes the policy. Please read it carefully. This Change Endorsement is a part of your Policy and takes effect on the effective date of your Policy, unless another effective date is shown. Additional Insured is to read: CITY OF SANTA ANA RISK MANAGEMENT DIVISION, THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED ON THIS POLICY PURSUANT TO WRITTEN CONTRACT, AGREEMENT Chairman at the Board G-56015-B QED. 11/91) oRaN RiskManagmentDMsian 3 REVIEWED & APPROVED BY.- z a p R. V Risk Management Analyst S13-300120-C CNA (Ed. 06111 ) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION - WITH PRODUCTS COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: BUSINE55OWNERS LIABILITY COVERAGE FORM SCHEDULE* Name Of Person Or organization: i * Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. A. The following is added to Paragraph C. Who Is An Insured: 4. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury," caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds); at the location(s) designated above-, or c. "Your work" that is included in the "products - completed operations hazard" and performed p for the additional insured, but only if this N Policy provides such coverage, and only if the M written contract or written agreement requires you to provide the additional insured such coverage. B. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or "personal and advertising injury" arising out of: SB-300120-C (Ed. 06111) I. The rendering of, or the failure to render any professional architectural, engineering, or surveying services, including: (a) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. Z "Bodily Injury," "property damage," or "personal and advertising injury" arising out of any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Policy, C. The following is added to Paragraph H. of the Businessowners Common Policy Conditions: K. Other Insurance This insurance is excess over any other insurance naming the additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance be either primary or primary and noncontributing. �oRaN } z RAMwaganadDMsiun REVIEWED & APPROVED BY: Risk Management Analyst CNa CNA80103XX (0,14) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COMMON POLICY CONDITIONS The following is added to Paragraph H. Other insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that; 1. The additional insured is a Famed Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All other terms and conditions of the Policy rematn unchanged. CNAso103XX (09-14) Page 1 of 1 Copyright, CNA Alt Rights Reserved. Includes copyrigtlted mateda$ of Insurance Sertioes Office, Inc., with �oRaN Risk ManagemerdDMsiun REVIEWED & APPROVED BY.- 3 r ' tG R. VSA44a Risk Management Analyst CNA SB146902G (Ed. 6-16) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRE© AUTO AND NON -OWNED AUTO LIABILITY This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS SCHEDULE Insurance is provided only with respect to those coverages for which a specific limit is shown: COVERAGE LIMIT Hired Auto Liability- $ Non -owned Auto Liability: $ (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) PROVISIONS A. COVERAGE With respect only to the Coverage(s) for which a limit is shown in the SCHEDULE above, the insurance provided under Coverage A.I. Business Liability for "bodily injury" and "property damage" also applies to "bodily injury" or "property damage" arising out of the maintenance or use of a: "Hired auto" used by you or your "employee" in the course of your business; andlor "Non -owned auto" used in the course of your business. Maintenance or use of a "non -owned auto' includes test driving in connection with an "auto business." With respect only to the coverage provided by this endorsement, under Coverages, coverage A.I. Business Liability is amended to: I. Delete paragraph A.1.b.(1)(b) and replace it with the following. b. This insurance applies: (1) To "bodily injury" and "property damage" only if: (la) The "occurrence" occurs during the policy period; and 2. Delete paragraph A.1.b.42),. B. LIMITS OF INSURANCE With respect only to the coverage provided by this endorsement, SECTION D. Liability And Medical Expenses Limits of Insurance is deleted in its entirety and replaced with the following: D. Limits Of Insurance 1. Regardless of the number of: a. Insureds; b. Claims made or "suits" brought; C. Persons or organizations making claims or bringing "suits"; or d "Autos," the applicable Hired Auto Liability limit or Non -Owned Auto Liability limit shown in the Declarations is the most we will pay for damages under SECTION A. Coverages because of all "bodily injury" and "property damage" resulting from any one "occurrence" arising out of the maintenance or use of a "hired auto" or "non -owned auto." SB146902G (Ed. 6-16) Page 1 of 3 Copyright, CNA AM Rights Reserved. �oRaN } z Risk MmWmerdDMsian REVIEWED & APPROVED BY.- f R. V;&wd Risk Management Analyst CNA SB146902G (Ed. 6-16) C. EXCLUSIONS With respect only to the insurance provided by this endorsement, 1. Under Exclusions, the paragraph entitled Applicable to Business Liability Coverage is amended to delete all exclusions except exclusions a., b., d., a., f. and i. and to add the following exclusions: This insurance does not apply to: • Fellow Employee "Bodily injury" to: (1) Any fellow "employee" of the insured arising out of and in the course of employment by the insured or while performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that fellow "employee" while as a consequence of Paragraph (1) above. • Care, Custody or Control "Property Barrage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. D. WHO IS AN INSURED Nth respect only to the insurance provided by this endorsement, Who Is An Insured is replaced by the following: Each of the following is an insured under this insurance to the extent set forth below: 1. You; 2. Subject to paragraph 3.c. below; your "employee" while operating an "auto" hired or rented under a contract or agreement, with your permission, in that "employee's" name, while performing duties related to the conduct of your business. 3. Anyone else including any partner or "executive officer" of yours while using with your permission a "hired auto" or a "non -owned auto" except: a. The owner or lessee (of whom you are a sublessee) of a "hired auto" or the owner or lessee of a "non -owned auto" or any agent or "employee" of any such owner or lessee; b. Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her household; c. Your "employee" if the covered "auto" is leased, hired or rented by him or her or a member of his or her household under a lease or rental agreement for a period of 180 days or more; d. Any partner or "executive officer" with respect to any "auto" owned by such partner or officer or a member of his or her household; e. Any partner or "executive officer" with respect to any "auto" leased or rented to such partner or officer or a member of his or her household under a lease or rental agreement for a period of 180 days or more; f. Any person while employed in or otherwise engaged in duties in connection with an "auto Business;" other than an "auto business" you operate; g. Anyone other than your "employees," partners, a lessee or borrower or any of their "employees," while moving property to or from a "hired auto" or a "non -owned auto`; or 4. Any other person or organization, but only with respect to their liability because of acts or omissions of an insured under 1, 2. or 3. above. E. AMENDED DEFINITION T'he Definition of "insured contract" in Section F — Definitions is amended by the addition of the following exceptions to paragraph f.: SB1469020 (Ed. 6-16) Page 2 of 3 Copyright, CNA Al Rights Reserved. �oRaN } z Risk ManagemerdDi isian REVIEWED & APPROVED BY.- f R. V;&wd Risk Management Analyst CNA SB146902G (Ed. 6-16) Paragraph f. does not include that part of any contract or agreement: • That pertains to the loan, lease or rental of an "auto" to you or any of your "employees," if the "auto" is loaned, leased or rented with a driver; or • That holds a person or organization engaged in the business of transporting property by "auto' for hire harmless for your use of a covered "auto` over a route or territory that person or organization is authorized to serve by public authority. F. ADDITIONAL DEFINITIONS Section F. Definitions is amended by the addition of the following definitions a. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos" b. "Hired auto" means any "auto' you or your "employee" lease, hire, rent or borrow in the course of your business. This does not include: i. Any "auto" you lease, hire or rent under a lease or rental agreement for a period of 180 days or more, or U. Any "auto" you lease, hire, rent or borrow from any of your "employees," partners, stockholders, or members of their households. c. "Non -owned auto" means any "autos" you do not own, lease, hire, rent or borrow that are being used in the course and scope of your business at the time of the 'occurrence" This includes "autos" owned by your "employees" or partners or members of their households but only while being used in the course and scope of your business at the time of the "occurrence." If you are a sole proprietor, "non -owned auto' means any "autos" you do not own, lease, hire, rent or borrow that are being used in the course and scope of your business or personal affairs at the time of the "occurrence." G. Nth respect only to the operation of a "hired auto" or "non -owned auto," Paragraph H, of the Businessowners Common Policy Conditions is deleted and replaced with the following_ H. Other Insurance I. Except for any liability assumed under an "insured contract" the insurance provided by this Coverage Form is excess over any other collectible insurance. However, if your business is the selling, servicing, repairing, panting or storage of "autos," the insurance provided by this endorsement is primary when covered "bodily injury" or "property damage" arises out of the operation of a customer's "auto" by you or your "employee." 2. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage M Form bears to the total of the limits of all the Coverage Fonds and policies covering on the same basis. G All other terms and conditions of the Policy remain unchanged. SB146902G (Ed, 6-16) Page 3 of 3 Copyright, CNA All Rights Reserved. �oRaN } z RiskManWImerdDMsian REVIEWED & APPROVED BY.- f R. V;d Risk Management Analyst ACORN° CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/30/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd, Suite 230 Lafayette CA 94549 CONTANAME: CT The Certificate Team PHONE FAX A/c No EXt: (A/C, No): E-MAIL-ADDRESS: CertsDesignPro@AssuredPartners.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Aspen American Insurance Company 43460 License#: 6003745 INSURED JAMEGAR-02 INSURER B : James Gartner & Associates Architects, Inc. 2036 North Broadway INSURERC: INSURER D7 Santa Ana CA 92706 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:443446424 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO CLAIMS-MADE1:1 OCCUR PREMI PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYEl PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- ISTATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability AAAE10084202 6/9/2021 6/9/2022 Per Claim $2,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION 30 Days Notice of Cancellation City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE oRaN RA Matlagelment Division z REVIEWED & APPROVED BY: © 1988-2015 ACORD C The ACORD name and logo are registered marks of ACORD ' Risk Management Analyst ." CCW?& DATE (MMIDDrYYYY) CERTIFICATE OF LIABILITY INSURANCE 09)2=021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER S$aItEFFa!'fn TELL BOWERSOX 24681 LA PLAZA, STE 360 ® CONTACT NAME:TED BOWERSOX NAME: PHONE o 94Ertl:9-661-3200 FA�X No : 949-661-4119 WC E-MAIL IESS: — DANA POINT, CA 92629 lNSURER(S) AFFORDING COVERAGE _ iVAIC q INSURER A: State Farm Fire and Casualty Company 25143 _ INSURED INSURERS: INSURER C : JAMES GARTNER & ASSOCIATES INC, WSURERO: 2036 N BROADWAY _ INSURER E : SANTA ANA, CA 92706 INSURER F ' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL..SUBR POLICY EFF POLICY EXP - LTR TYPE OF INSURANCE POLICY NUMBER MMIDD1YYYY MMIDD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR TE PREMISES a occurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY S AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY [] JEd [] LOC PRODUCTS-COMPfOPAGG - $ _ $ OTHER: 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ao¢idenD $ 90OtLY VNJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ $ _ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (Per accidents $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OPFICERIMEMDER EXCLUDED? 0 (Mandatory In NH) NIA Y 92-GQ-D892-8F 01/22/2021 01122/2022 STATUTE ERH E.L. EACH ACCIDENT S 1 ������� E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 iryes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltional Remarks Schedule, may be attached if more space Is required) CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES ARE ADDITIONAL INSUREDS WITH RESPECT TO GENERAL AND AUTO LIABILITY, INSURANCE IS PRIMARY AND NONCONTRIBUTORY. WAIVER OF SUBROGATION APPLIES TO WORKERS COMPENSiGN. 30 DAY NOTICE OF CANCELLATION110 DAY ON-PAYMEN OF PREMIUM CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA RISK MANAGEMENT DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 dt Risk Managl'merd'DiAsian / � ortaN�F z REVIEWED & APPROVED BY: Oa 1988-2015 ACORD �a ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD _W Risk Management Analyst (� Digitally signed by Tori Pierson Ty r i Pierson— 022.06.21 10:57:02 JAME - -07'00' DATE(MM/DD/YYYY) 1 05/31 /2022 �►co�ro, CERTIFICATE OF LIABILITY INSURANCE 1'' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 909-890-9707 Unickel & Associates Insurance Unickel & Assoc. Lic#0827703 CONTACT Desaraee Holefield NAME: PHONE 909-890-9707 FAX 909-890-9237 (A/C, No, EXt): (A/C, No): aDORIL Dholefield@unickelinsurance.com P.O. Box 10727 San Bernardino, CA 92423-0727 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Company INSURED James Gartner & Associates Architects INSURER B : 2036 N. Broadway INSURER C 7 INSURER D Santa Ana, CA 92706 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR x X B 6093910461 04/14/2022 04/14/2023 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 $ MED EXP (Anyoneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO - El ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO B 6093910461 04/14/2022 04/14/2023 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Property Section B 6093910461 04/14/2022 04/14/2023 BPP 99,193 Ded 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana Risk Management Division, its officers, employees, agents, volunteers and representatives are Additional Insureds in regards to General Liability. Primary & Non -Contributory wording applies. Waiver of Subrogation applies to General Liability. * 30 days notice of cancellation, except 10 days notice of cancellation for non-payment of premium. CITYSA2 City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Risk Mwdgwwn1%bWn REmEwEosodo Pec ACORD 25 (2016/03) © 1988-2015 ACORD CC The ACORD name and logo are registered marks of ACORD CNA SB146932G (Ed. 10-19) BLANKET ADDITIONAL INSURED AND LIABILITY EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABIL TY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS TABLE OF CONTENTS I. Blanket Additional Insured IProvisions A. Additional Insured — Blanket Vendors B. Miscellaneous Additional insureds C. Additional Provisions Pertinent to Additional Insured Coverage 1.2. Primary — Noncontributory provision 1.b. Definition of "written contract" 2. Additional Insured — Extended Coverage II. Liability Extension Coverages A. Bodily Injury— Expanded Definition B. Broad Knowledge of Occurrence C. Estates, Legal Representatives and Spouses D. Fellow Employee First Aid E. Legal Liability — Damage% to Premises F. Personal and Advertlsirig Injury — Discrimination or Humiliation G. Personal and Advertisir Injury — Broadened Eviction H. Waiver of Subrogation — Blanket 1. BLANKET ADDITIONAL INSURE':D PROVISIONS A. ADDITIONAL INSURED— BLANKET VENDORS Who Is An Insured is amended to include as an additional insured any person or organization (referred to below as vendor) with whom you agreed under a "written contract" to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: 1. The insurance afforded the vendor does not apply to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor woulc' have in the absence of the contract or agreement; b. Any express warrant) unauthorized by you; C. Any physical or chemical change in the product made intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; f. Demonstration, instalation, servicing or repair operations, except such operations performed at the vendor's premises in -,onnection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or SB146932G (10-19) - ---------�'�°" REmEwEo & AmovED Ryr M Copyright, CNA All Rights Reserved. Girs!<M19 nagcnxs,4 Cre oca�Psde n SB 146932G (Ed. 10-19) h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in Subparagraphs d. or f.; or (2) Such inspectiors, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. 3. This provision 2. does not apply to any vendor included as an insured by an endorsement issued by us and made a part of this Policy, 4. This provision 2. does riot apply if "bodily injury" or "property damage" included within the "products - completed operations hazard" is excluded either by the provisions of the Policy or by endorsement. B. MISCELLANEOUS ADDITIQNAL INSUREDS I. Who Is An Insured is amended to include as an insured any person or organization (called additional insured) described in paragraphs 3.a. through 3 j. below whom you are required to add as an additional insured on this policy unc'er a "written contract." 2. However, subject always to the terms and conditions of this policy, including the limits of insurance, we will not provide the additional insured with: a. A higher limit of insurance than required by such "written contract;" b. Coverage broader than required by such "written contract" and in no event greater than that described by the applicable paragraph a. through k. below; or c. Coverage for "bo&ly injury" or "property damage" included within the "products -completed operations hazard." But this paragraph c. does not apply to the extent coverage for such liability is provided by paragraph 3.j. below. Any coverage granted by this endorsement shall apply only to the extent permitted by law. 3. Only the following persons or organizations can qualify as additional insureds under this endorsement: a. Controlling Interest Any persons or organizations with a controlling interest in you but only with respect to their liability arising out of: (1) such person or o ,ganization's financial control of you; or (2) Premises such person or organization owns, maintains or controls while you lease or occupy these premises; provided that the coverage granted to such additional insureds does not apply to structural alterations, new construction or demolition operations performed by or for such additional insured. b. Co-owner of Insurec!l Premises A co-owner of a premises co -owned by you and covered under this insurance but only with respect to the co -owners liability for "bodily injury," "property damage" or "personal and advertising injury" as co- owner of such premises. c. Grantor of Franchise Any person or organization that has granted a franchise to you, but only with respect to such person or organizations liability for "bodily injury," "property damage," or "personal and advertising injury" as grantor of a franchise to you. SB146932G (10-19) Copyright, CNA All Rights Reserved. ."'."•.'VYrsl<M1r9::anagcnxri4CYerira(Psdie SB146932G (Ed. 10-19) d. Lessor of Equipment Any person or organization from whom you lease equipment, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" caused in whole or in part by your maintenance, operation or use of such equipment, provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense giving rise to such "personal and advertising injury" takes place prior to the termination of such lease. e. Lessor of Land Any person or organ zation from whom you lease land, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of the ownership, maintenance or use of that specific ,part of the land leased to you, provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense giving rise to such "personal and advertising injury," takes place prior to the termination of such lease. The insurance hereby afforded to the additional insured does not apply to structural alterations, new construction or demolition operations performed by, on behalf of or for such additional insured. f. Lessor of Premises An owner or lessor of premises leased to you, or such owner or lessor's real estate manager, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of the ownership, maintenance or use of such part of the premises leased to you, and provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense giving rise to such "personal and advertising injury," takes place prior to the termination of such lease. The insurance hereby afforded to the additional insured does not apply to structural alterations, new construction or demclition operations performed by, on behalf of or for such additional insured. g. Mortgagee, Assignee or Receiver A mortgagee, assigree or receiver of premises but only with respect to such mortgagee, assignee, or receiver's liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations, new construction or demolition operations performed by, on behalf of or for such additional insured. h. State or Political Subdivisions A state or government agency or subdivision or political subdivision that has issued a permit or authorization, but on y with respect to such government agency or subdivision or political subdivision's liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of: (1) The following hzizards in connection with premises you own, rent, or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance or use of any elevators covered by this insurance, or (2) The permitted or authorized operations performed by you or on your behalf. But the coverage granted by this paragrapl- does not apply to: (a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state or government agency or subdivision or political subdivision; or (b) 'Bodily injury" or "property damage" included within the "products -completed operations hazard." With respect to this provision's requirement that additional insured status must be requested under a "written contract," w. will treat as a "written contract" any governmental permit that requires you to add the governmental entity as an additional insured. ---- SB146932G (10-19) - ---------'�° REmEvim & AmavED Oyy """" Pdslc M1rFan«ac�enrenx CYenral P,yde Copyright, CNA All Rights Reserved. " SB146932G (Ed. 1 D-19) i. Trade Show Event Lessor With respect to your participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom you are required to include as an additional insured, but only with respect to such person or organization's liability for "bodily injury," "property damage," or "personal and advertising injury" caused by: a. Your acts or omissions; or b. Acts or omissions of those acting on your behalf; in the performance of your ongoing operations at the trade show premises during the trade show event. j. Other Person or Organization Any person or organization who is not an additional insured under paragraphs a. through i. above. Such additional insured is an insured solely for "bodily injury," "property damage" or "personal and advertising injury" "or which such additional insured is liable because of your acts or omissions. The coverage granted by this paragraph does not apply to any person or organization: (1) For "bodily injury," "property damage," or "personal and advertising injury" arising out of the rendering or failure to render any professional services; (2) For "bodily injury" or "property damage" included in the "products -completed operations hazard." But this provision (2) does not apply to such "bodily injury" or "property damage" if: (a) It is entirely due to your negligence and specifically results from your work for the additional insured which is the subject to the "written contract'; and (b) The "writter contract" requires you to make the person or organization an additional insured for such "bodily injury" or "property damage"; or (3) Who is afforded additional insured coverage under another endorsement attached to this policy. C. ADDITIONAL PROVISIONS (PERTINENT TO ADDITIONAL INSURED COVERAGE 1. With respect only to additional insured coverage provided under paragraphs A. and B. above: a. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the following to the Condition entitled Other Insurance: This insurance is excess of all other insurance available to an additional insured whether primary, excess, contingent or on any other basis. (However, if a "written contract" requires that this insurance be either primary or primary and noncontributing, then this insurance will be primary and non-contributory F relative solely to insurance on which the additional insured is a named insured. b. Under Liability and IiAedical Expense Definitions, the following definition is added: "Written contract" means a written contract or agreement that requires you to make a person or N organization an addit onal insured on this policy, provided the contract or agreement: (1) Is currently in effr;ct or becomes effective during the term of this policy; and (2) Was executed prior to: (a) The `bodily njury" or "property damage;" or (b) The offense -hat caused the "personal and advertising injury"; for which the additional insured seeks coverage. 2. With respect to any addit oval insured added by this endorsement or by any other endorsement attached to this Coverage Part, the section entitled Who Is An Insured is amended to make the following natural persons insureds. If the additional insured is a. An individual, then hiss or her spouse is an insured; SB146932G 1p-19 - ----®----�`�` ( ) o & AmovED ."""" `"Vdslc twAan«ac�enrenx CY enral P,yde Copyright, CNA All Rights Reserved. SB146932G (Ed. 10-19) b. A partnership orjoint venture, then its partners, members and their spouses are insureds; c. A limited liability company, then its members and managers are insureds; d. An organization other than a partnership, joint venture or limited liability company, then its executive officers, directors and shareholders are insureds; or e. Any type of entity, then its employees are insureds; but only with respect to locations and operations covered by the additional insured endorsement's provisions, and only with respect 'lo their respective roles within their organizations. Furthermore, employees of additional insureds are not insureds with respect to liability arising out of: (1) "Bodily injury" or "personal and advertising injury" to any fellow employee or to any natural person listed in paragraphs �3. through d. above; (2) "Property damage" to property owned, occupied or used by their employer or by any fellow employee; or (3) Providing or failing tag provide professional health care services. II. LIABILITY EXTENSION COVERAGES It is understood and agreed that this endorsement amends the Businessowners Liability Coverage Form. If any other endorsement attached to tI' is policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement to such provision do not apply. A. Bodily injury— Expanded Dc finitlon Under Liability and Medical Expenses Definitions, the definition of "Bodily injury" is deleted and replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury by that person at any time which results as a consequence of the physical injury, sickness or disease. B. Broad Knowledge of Occunence Under Businessowners Liability Conditions, the Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended to add the following: Paragraphs a. and b. above apply to you or to any additional insured only when such "occurrence," offense, claim or "suit" is known to: (1) You or any additional inSLired that is an individual; (2) Any partner, if you or an z dditional insured is a partnership; (3) Any manager, if you or an additional insured is a limited liability company; (4) Any "executive officer" or insurance manager, if you or an additional insured is a corporation; (5) Any trustee, if you or an additional insured is a trust; or (6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity. This paragraph applies separsitely to you and any additional insured. C. Estates, Legal Representatives and Spouses The estates, heirs, legal repreGentatives and spouses of any natural person insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives and spouses only for claims arising solely out cif their capacity as such and, in the case of a spouse, where such claim seeks damages from marital common property, jointly held property, or property transferred from such natural person insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative or spouse outside the scope of such person's capacity as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business. _ --- SB146932G (10-19) REmEwEo ,' a "Vdslc twA.an«ac�enrenx CY enral P,yde Copyright, CNA Aft Rights Reserved. SB146932G (Ed. 10-19) D. Fellow Employee First Aid Coverage In the section entitled Who Is An Insured, paragraph 2.a.1. is amended to add the following: The limitations described in subparagraphs 2.a.1.(a), (b) and (c) do not apply to your "employees" for "bodily injury" that results from providing cardiopulmonary resuscitation or other first aid services to a co -"employee" or "volunteer worker" that becomes necessary while your "employee" is performing duties in the conduct of your business. Your "employee!;" are hereby insureds for such services. But the insured status conferred by this provision does not apply to "employees" whose duties in your business are to provide professional health care services or health examinations. E. Legal Liability— Damage Tsa Premises I. Under B. Exclusions, 1, Applicable to Business Liability Coverage, Exclusion k. Damage To Property, is replaced by the followinc,r k. Damage To Properl',y "Property damage" to: I. Property you own, rent or occupy, including any costs or expenses incurred by you, or any other person, organiz,ition or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; 2. Premises you snhll, give away or abandon, if the "property damage" arises out of any part of those premises; 3. Property loaned to you; 4. Personal properly in the care, custody or control of the insured; 5. That particular Fart of any real property on which you or any contractors or subcontractors working directly or indirec,tly in your behalf are performing operations, if the "property damage" arises out of those operations; or 6. That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraph 2 of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs 1, 3, and 4, of this exclusion do not apply to "property damage" (other than damage by fire or explosion) to prenises: m (1) rented to you: (2) temporarily occu aied by you with the permission of the owner, or (3) to the contents ol'premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D — Liability and Medical 'expenses Limits of Insurance. Paragraphs 3, 4, 5, a id 6 of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph 6 of this exclusion does not apply to "property damage" included in the "products - completed operations hazard." 2. Under B. Exclusions, 1..�kpplicable to Business Liability Coverage, the following paragraph is added, and replaces the similar paragraph, if any, beneath paragraph (14) of the exclusion entitled Personal and Advertising Injury: Exclusions c, d, e, f, g, h i, k, 1, m, n, and o, do not apply to damage by fire to premises while rented to you or temporarily occupied b,,r you with permission of the owner or to the contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section D. Liability And Medical Expenses Limits Of Insurance. SB146932G 10-19 - ----- ---- `� " " ( )ftme&Eo & AmovED Ryr ."""" Vdslc twAan«ac�enrenx CY enral P,yde Copyright, CiVA All Rights Reserved. " SB 146932G (Ed. 10-19) 3. The first Paragraph under item 5. Damage To Premises Rented To You Limit of the section entitled Liability And Medical Expenses Limits Of Insurance is replaced by the following: The most we will pay under Business Liability for damages because of "property damage" to any one premises, while rented 'Io you or temporarily occupied by you with the permission of the owner, including contents of such premieres rented to you for a period of 7 or fewer consecutive days, is the Damage to Premises Rented to You Limit. The damage to Premises Rented to You Limit is the greater of: a. $1,000,000; or b. The Damage to Premises Rented to You Limit shown in the Declarations. F. Personal and Advertising Injury — Discrimination or Humiliation 1. Under Liability and Medical Expenses Definitions, the definition of "personal and advertising injury" is amended to add the following: h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is: (1) Not done intentionally by or at the direction of: (a) The insured or (b) Any "executive officer," director, stockholder, partner, member or manager (if you are a limited liability company) of the insured; and (2) Not directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person or person by any insured. 2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the exclusion entitled Personal and Advertising Injury is amended to add the following additional exclusions: (15)Discrimination Relating to Room, Dwelling or Premises Caused by discrimination directly or indirectly related to the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any insured. (16) Employment Relate id Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any insured. (17) Fines or Penalties Fines or penalties le�led or imposed by a governmental entity because of discrimination. 3. This provision (Personal and Advertising Injury -- Discrimination or Humiliation) does not apply if Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by endorsement. G. Personal and Advertising InJj ury - Broadened Eviction Under Liability and Medical Expenses Definitions, the definition of "Personal and advertising injury" is amended to delete Paragraph c. and replace it with the following: c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room dwelling or premises that a person or organization occupies committed by or on behalf of its owner, landlord or lessor. H. Waiver of Subrogation — Blanket We waive any right of recover(we may have against: a. Any person or organizatio i with whom you have a written contract that requires such a waiver. All other terms and conditions of the Policy remain unchanged. SB146932G (10-19) - -RRisk isk----w'r ° " ftEmEwEo & APPRavED Ryr ."' """. -' Pdslc M1rA.rn«ac�enrenx CYenral P,yde Copyright, CNA All Rights Reserved. CNA CNA80103XX (09-14) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIPfiARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COMMON POLICY CONDITIONS The following is added to Paragraph H. tither Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: 1. The additional insured is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All other terms and conditions of the Policy remain unchanged. CNA80103XX (09-14) REmEwEo& Page 'I of 1 �� Copyright, CNA All Rights Rrserved. includes copyrighted material of Insurance Services Office, Inc., with its p _w. A CERTIFICATE INN JDATE (M'NDp1Y'YVby 05/31/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CCNTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder i an ADDITIONAL INSURED, the policy(ie) must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endor ment(s). PRODUCER CO CT TEID FBOWERSOX t wTrm TED BOWERSOX �Payrxran ___- A/C, N949 61 32fO 94,9 661 4 I b 24681 LA PLAZA, #360 E-MAIL ....._ _ADD DANA POINT, CA 92629 1�S _ .... ..... INSURED ,TAMES GARTNER & ASSOCIATES ARCHITECTS, IN 2036 N BROADWAY SANTA ANA, CA 92704 INSURi A State Farrra Fire and INSPIRER B - I INSURER OVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN INDICATED. NOTWITHSTANDING, ANY REQUIREMENT,, TERM OR CONDITION OF ANY CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RE _AD� _ _ R TYPE OF INSURANCE 11G 11N1f POLICY' NUMBER COMMERCIAL GENERAL LIABILITY � �� CLAIMS -MADE 1_71 OCCUR GEN`L AGGREGATE LIMIT APPLIES PER: POLICY 1..� PRO- JECT LCC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED .AUTOS ONLY AUTOS HIRED NON -OWNED .AUTOS ONLY AUTOS ONLY UMBRELLA LfAB OCCUR EXCESS LIAR CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N' ANY PROPRIETOR7PARTNERIEXECUT€VE A OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) N (f yes, describe wander 92-MW-F864-4 ! 01 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be 30 DAYS NOTICE OF CANCELLATION, EXCEPT 10 DAYS CANCELLATION FOR NC Mmffw�r r REVISION NUMBER: SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH POLICIES DESCRIBED HEREIN IS SU13JECT TO ALL, THE TE 'ED BY PAID CLAIMS, EACH MED EXP {Any one person) PERSONAL A ADV INJURY GENERAL AGGREGATE, PRODUCTS COMPIOPAGG BODILY IN_JURV BODILY 6NJURY EACH OCCUF AGGREGATE 01F2212023 [E.L. EACH ACCIDENT E L DISEASE EA EMPLOYE E., L. DISEASE - POLICY LIMIT :d if more space Is required) YMENT. $. 1,000, 000 $ 1,0OO,000 SHOUL ANY OF THE ABOVE DESCR18EU POLICIES BE CANCELLED BEFORE THE E PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA RISK MANAGEMENT DIVISION ACCOR ANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA ---- AUTHORIZE D REPRESENTATIVE SANTA ANA, CA 92701 u, -Risk w ni%bion. REmEwED a & ED RYr Q 1988-2015 ACORD C( ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1001486 132648.14 04-13-202.2 ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmYY) 6m2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd, Suite 230 Lafayette CA 94549 CONTACT NAME: The Certificate Team PHONE FAX A/C No Ext : A/C, No): ADDRESS: CertsDesignPro@AssuredPartners.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Aspen American Insurance Company 43460 License#: 6003745 INSURED JAMEGAR-02 INSURER B : James Gartner & Associates Architects, Inc. 2036 North Broadway INSURER C: INSURER D : Santa Ana CA 92706 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:1215398286 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1:1 OCCUR To DAMAGES(RENTED PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY D jRa1:1 LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability AAAE10084203 6/9/2022 6/9/2023 Per Claim $2,000,000 Aggregate Limit $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Operations of the Named Insured. L,CM I IrIL A I C MULUCK L AI L MI_LA I IUN 3U uays Notice oT t ancenation City of Santa Ana Administrative Services Division Attn: Fancine R. Villareal 20 Civic Center Plaza Ross Annex M-20 Santa Ana CA 92702 United States SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE , cnB.lte&on. 1REmEwED & APPRavED Ryr ©1988-2015 ACORD C( I J ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD NOTICE OF COMPLIANCE Contractor James Gartner & Associates Name: Project A-2021-118-02 Number: Project Agreement With James Gartner & Associates, Architects, Inc., To Provide Name: Pre -Approval Accessory Dwelling Unit Plans The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION TYPE OF INSURANCE COI DATE FILE NAME NUMBER DATE James Gartner & AUTOMOBILE LIABILITY B5093910461 04/14/2023 05/31/2022 Associates Architects COI Exp 4-14-23 RM D06092022.pdf James Gartner & GENERAL LIABILITY B5093910461 04/14/2023 05/31/2022 Associates Architects COI Exp 4-14-23 RM D06092022.pdf City -of -Santa - PROFESSIONAL LIABILITY AAAE10084203 06/09/2023 06/07/2022 Ana_James-Gartner- &_PAE-(06-23)_6-7- 2022_1215398286_1.pdf WORKERS COMPENSATION AND EMPLOYERS' 92MWG2756 01/22/2024 02/07/2023 James Gartner COI EX LIABILITY 01-24-2024.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 3/2/2023 1:06 PM NOTICE OF COMPLIANCE MY w M U U U U U°°IHS PAGE AND MLUDE GNU U FII AGREEMEM M UFIE CLERK OF U U IIIC COMM Contractor James Gartner & Associates Name: Project A-2021-118-02 Number: Project Agreement With James Gartner & Associates, Architects, Inc., Name: To Provide Pre -Approval Accessory Dwelling Unit Plans The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION COI TYPE OF INSURANCE NUMBER DATE DATE FILE NAME AUTOMOBILE LIABILITY B5093910461 04/14/2024 03/09/2023 2023-2024 JGA CNA COLpdf GENERAL LIABILITY B5093910461 04/14/2024 03/09/2023 2023-2024 JGA CNA COLpdf City -of -Santa - PROFESSIONAL LIABILITY AAAE10084203 06/09/2023 06/07/2022 = Ana_James-Gartner- & PAE-(06-23)_6-7- 2022_1215398286_1.pdf WORKERS COMPENSATION AND EMPLOYERS' 92MWG2756 01/22/2024 02/07/2023 James Gartner COI EX LIABILITY .............. 01-24-2024.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 4/6/2023 6:37 PM NOTICE OF COMPLIANCE CU"UY C M O CU U U U U°'IIUC PAGE AND MLUDE GNU U FII AGREEMEM M UFIE CLERK OF U U IIIC COMM Contractor James Gartner & Associates Name: Project A-2021-118-02 Number: Project Agreement With James Gartner & Associates, Architects, Inc., Name: To Provide Pre -Approval Accessory Dwelling Unit Plans The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION TYPE OF INSURANCE COI DATE FILE NAME NUMBER DATE AUTOMOBILE LIABILITY B5093910461 04/14/2024 03/09/2023 2023-2024 JGA CNA COI.pdf GENERAL LIABILITY B5093910461 04/14/2024 03/09/2023 2023-2024 JGA CNA COI.pdf PROFESSIONAL LIABILITY AAAE10084204 06/09/2024 05/28/2023 JGA 23-24 Prof Liab Cert.pdf WORKERS COMPENSATION AND 92MWG2756 01/22/2024 02/07/2023 James Gartner COI EX EMPLOYERS' LIABILITY .............. 01-24-2024.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 5/31/2023 12:53 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor James Gartner & Associates Name: Project A-2021-118-02 Number: Project Agreement With James Gartner & Associates, Architects, Inc., Name: To Provide Pre -Approval Accessory Dwelling Unit Plans The Certificate of Insurance (COI) submitted indicates that the coverages comply with the insurance requirements. The compliant coverage(s) are: TYPE OF INSURANCE AUTOMOBILE LIABILITY GENERAL LIABILITY PROFESSIONAL LIABILITY POLICY EXPIRATION COI DATE NUMBER I DATE B5093 910461 1 04/ 14/2024 1 03/09/2023 B5093 910461 1 04/ 14/2024 1 03/09/2023 AAAE 10084204 06/09/2024 1 05/28/2023 -J WORKERS COMPENSATION AND 92MWG6971 O1/22/2025T01/31/2024 EMPLOYERS' LIABILITY No further action is required at this time. Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 2/15/2024 1:26 PM FILE NAME 2023-2024 JGA CNA COLpdf 2023-2024 JGA CNA COLpdf JGA 23-24 Prof Liab Cert.pdf JGA WC COI 2024- 2025.pdf JAMES-5 ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/2A `11% nd��s��n�d THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 909-890-9707 CONTACT Angelina Quezada Unickel & Associates Insurance f 1011E x Unickel & Assoc. Lic#0827703 I IC, N Ex : C, No):909-890-9237 P.O. Box 10727 l )CR c eli San Bernardino, CA 92423-0727 JA E �eREss: RED M �s Gartner & Associates Architects N. Broadway a Ana, CA 92706 COVERAGES C ' St it JSUK REVISION NUMBER: THIS S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 3EI jW HAVE BEE ED I R THE POLICY IG REQUIREMENT,ERMO AN R RESPECTO TIS S CERTIFICATE FICATE MAYBENOTWITHSTANDING D OR MAY THETNSU NC C AFFORDED OION RDEDF BY THE POtICIE5D•E C BEDD HEREIN SUBJEOC ALL THE TERMCH EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHU!^'. a MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSD SUBR POLICYNUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR x X B 6093910461 04/14/2024 04/14/2025 DAMAGES (RENTED PREMISES Ea occurrence)$ 1,000,000 MED EXP (Anyoneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO - El ElLOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO B 6093910461 04/14/2024 04/14/2025 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ HIRED �( NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N I A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Property Section B 6093910461 04/14/2024 04/07/2025 BPP 104,153 Ded 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana Risk Management Division, its officers, employees, agents, volunteers and representatives are Additional Insureds in regards to General Liability. Primary & Non -Contributory wording applies. Waiver of Subrogation applies to General Liability. * 30 days notice of cancellation, except 10 days notice of cancellation for non-payment of premium. CITYSA2 City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF ACCORDANCE WITH THE POLICY PRO oR.N a RAManagmumtDMsIcrn f ° REVIEWED & APPROVED BY: AUTHORIZED REPRESENTATIVE I 1" Risk Management Specialist ACORD 25 (2016/03) © 1988-2015 ACORD The ACORD name and logo are registered marks of ACORD This endorsement modifies insuranco FxovOeo under the 1,00(rMng: N W L9 I 0 1. The insuranrm afforded the vendor does not apply to., b, Any express warranty unauthorized by you-, c, Any physicaf or chcatical change in the product made intentionefly by the Vendor, d. Repackaging, except when unpacked solely for tho purpose of inspecfion, demonstration, testing, or the substitistion of pars under instructions from the manufacturer, Find then repackaged in the original container; e. Any failure to makcsuch inspections, adjustinents, tests or servicing as the vendor has agreed to make or normally undertr kes to make in the usual course of business, in connection WO the distribution or sale of the producAs,, f. Demonstration, ink taliatir.m, servicing or repair operations, except such operations performed at the vendors premkies, n connection with the safe of the product; g. Products which, at er distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient o, any oMer thing or substance by or for the vendor; or 1- 9 -3-2 G ('I 0_-19_)'_'_' . .... . .... RA Mougmumt DMslcrn Cg)yNht, CNA AN Mgfft Reaenwl, RE\AEWED & APPROVED BY. A 1"All � IL Afg Aezv4i!, Risk Management Specialist y NJ h. "Flodily Injury" or"property damage' arising outof the sole negligence of the vendor for Its own acts or omissions or those �)f its employees or anyone else acting on its behAf. However, tNs exckiMon doe% not apply to: (1) The exw.ptions contained h Subparagraphs d. or f.; or (2) Such inspectioas, adjustments, tests, or servicing as the vendor has agreed to make or normal undertakes to make in the usual course of business, In connection with the distribution or sale of produt;ts. 2. This insurance does nct apply to any Insured person or organization, from whom ycKi have arAuired su produds, or any Ingre&unt, part or container, entering into, accompanying or containing %uch products. 3. This provision 2. does vol apply to any vendor Included as an insured by an endorsement issued by Us made a part of this Policy. 4. This provision 2. does riot apply if "bodily Injury"' or "property damage" included within the 'produc completed operations hazard" is excluded either by the provisions of the Policy or by endorsement. I 1. Who Is An Insured if amended to imiude as an insured any person or organization (cpAled addition insured) described in paragraphs 3.a. through 3.j. be4ow whom you are. required to add as an aiddit' insured on this policy under a "written contract." 2. However, subject always to the terms and conditions of this policy, Including the 1Wts, of insurance, We not provide the addibon 31 insured with: I a. A highor [Irnft of ins irance thain required by such "writtan contract;" b. Coverage broader han required by su,ch "written contracir' and In no event greater than that descriN, by the aprAlcable paragraph a. through k. below� or c. Coverage for `bcdIly Injury' or "property damage"' Included *thin the "products-complet operations hazar(I." But tNs paragraph c, does not appty to the extent ca.verage for such Elability provided by paragraph 3.j. ixJow, Any coverage granted by th 6 endorsement shaff apply orgy to the extent perfflitted by law. 3. Only the tolimMng persons or organizBfions can qualify as additional insureds under this endorsement & Controlling Intered Any persons or organizations with a controllirqj Interest in you but only with respect to their liability ansing out of,. (1) such person cat organization's financial control of you; or (2) Premises suet person or organization owns, maintains or controls while you lease or occupy these premises; provided that the coverage granted to such additional insureds does not apply to structural alterations, new construction or dernolftion operations performed by or for such additional Insured. b, Co-owner of Insuied Premises wi respect A co-owner of a pr�mlses ro-owned by yotj and covered under this Insurance buly t on th to the c;o-owners liability for "bodily injury," "property damage"' or "personal and advertising Injury" as co- owner of such premises. c. Grantor of Franct Ise Any person or erg 4nization that has granted a franchise to You, but onlywith respect to such person or organization's Ilabi lity for 'bodily injury," "'property damage," or "personal and advertising Injury" as grantor of a fraru*i se to YOU. SB 1 46932G (10- 19) , RA Management DivisiontrN REVIEWED & APPROVED BY. Copyrk4ht, GNA AA Ng tds Roomed, Aezv4�, Risk Management Specialist V NJ •on behal,f of or for si xh additional insured, 9. Mortgagee, Assigriee or Receiver A mortgagee, assikinee, or receiver of prerni.%.s but onty with respecl to such mortgagee, assignee, or rece[ver's liability f(ir "bodily injury," "property damage" or "personal and advertising injury* arising out of the ownership, ma�ntenancA, or use of a premises by you. This Insurance does not apply to structural alterations, new Construction or demolition operations performed by', oti bohalf of or for such additional insured, With respect to ths pmvision's requirement that additional insured status must be requested under a "written ntr Ww e will treat as a "written en contract" any govem entat per itt that requires tau to add the governmental ontttty was an additional insured. 6 i 6932E (10-19) RA ManagementDMslcn f e ° REVIEWED & APPROVED BY: (:oq",vy6O)i Caw AN Rights Reserved. ' Aezv 1" Risk Management Specialist With reSped to YOU participation in a trade show event as an exhibitor, presenter or displayer, any such person or or)anization's fiaNfity for "bodily Injury," "property damage," or "'personal and advertising Injury" caused by', a. Your acts or orrissions; or b. Acts or ornissions of those acting on your behalf; in the performance (9 your ongoing operations at the trade show promises during the trade show event. J. Ottw Person or Oiganization Any person or orgwiization who is riot an additional insured under paragraphs a. through 1. above. Such additional Insured a an Insured sdety for "bodily Injury,", "property damage" or "personal and advertising injury" for which such additional insured is tiatAe because of your acts or omissions. The coverage grant W by this paragraph does not apply to any person or organizaton: (1) For "bodily injjry," "property damage," or "personal and advertising Injury" arising out of the rendering or fall are to render any professional services, (2) For 'bodily Injury" or "property damage" Included in the "product"ornpleted operations hazard,' But tK s provision (2) does not apply to such "bodily Injury," or *property damage" if - (a) It is ent*el t due to your negligence and "cifically results frorn your work for the additional insured wh c3i is the subject to the "written contracir; and (b) The "written contraon an additional insured for such "bodl y Injury" �x "property damage"; or (3) Who Is afforder additonal insured coverage uf ider another endorsement attached to t�his pollcy a. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the followng to the Condition entitled Cther insurance' This insurance Is !xcess of all other insura,nco available to an additional �nsured whether primary, excess, contingent )r on any other basis. However, If a 'Written contract' requires that this insurance be either primary or ptimary and noncontributing, then this insurance wiR be primary and non-contributory relative solely to insurance on Mi0i fire additional insured is a named insured, b. Under Liability ant Medical Expense Definitions, the fohoWng definition Is added: "Written contracV rneans a written contract or agreement fliat req&es you to make a person or orgaritzation an adc iflonal insured on this policy, provided the contract or agreement (1) Is currently In effect of becomes effective during the term of this policy; and (2) Was executed )rior tom (a) 'The "bodil ( InJur)C cr "property darnagwIft or (b) -1 he offens a that caused fire "personal and advertising njury"„ for which the additi(wal insured seeks coverage. 2. With rasped to any additional insured added by this ertdorsement or by any other endorsement attached to this Coverage Part, the set dDn entitled Who Is An Insured Is amended to make ftie, following natural persons insureds. If the additional Insured Is: 1110 a. An individual, then its or her spouse is an insured; $8146932G (10-19) Copyright, CNA All Rights Wiserved. Risk Mougmumt DMslcrn REVIEWED & APPROVED BY. Risk Management Specialist b. A partnership or joir t venture, then Its partners, mel and their spouses are insureds; c. A limited liability coripany, then its members and rnanagers are insureds; clAn organization otter than a partnership, joint venture or limited liability company, then fts executive officers, directors ar d shareholders are insureds', or eAny type of, entity, It ien fts employees are insureds; Mrl wtnvum, 't and only with respeect to their re- employees of IL' additional insureds are r ot insured (1) "Bodily Injury" or "personal and advertising injuW to any fellow employee or to any natural person listed In paragraphs a. through d. above� (2) "Property damage"' to property owned, occupied or used by tfw-,Ar employer or by any felkw employee; or (3) Providing or failing I r) provide profession af health care services. endorsement contrors wMi respe ct to sucri Pt oviblur 1, Lit Wu V le u Idl not apply. Under Liability and Med1c;J Expenses Definitions, the definition of "Bodily injury" is deleted and re0aced by the following: "B"lly Injury" means phy�;ical injury, sickness or disease sustained by a person, including death, humiliation, intarirfmry �ft gtrson at am, time which resuits as a consequence of the physical Injury, sickness or disease. Under Businessowners Li )Hfty Conditions, the, Condition entitled Duties In The Event of Occrrence, Offense, Claim or Suit is amended to add the foll Paragraphs a. ard b. abova, apply to you or to any additiond insured only when such *occurrence," offense, claim or "suit" is known to: (1) You or any additional in surad that is an indl (2) Any partner, If you or at ii additional Insured K a partnership; (3) Any manager, if you or 3n additional insured is a linifted IWW14 companyu (4) Any "executive officer"or insurance manager, if you or an additional insured is a corporation, (5) Any trustee, if you or aradditional insured is a trust-, or (6) Any elected or appointEd official, if you or an additional insured is a pchfical subdivision or public entity. This pal applies senp irately to you and any additional insured. Will 1, Name(I Insureds are insure 38 with respect 10 S1cn spouses Insured's business. SB146932G (10-19) IN Copyrigil, CNA N1 FWAs Roserved, "P_", RM Alarawemem urmton REVIEWED & APPROVED BY. Afg Aezi,4�, Risk Management Specialist Will I illillillj�illillillillillillillilI The firriltations described in SUbparagraphs 2.ai.(a), (b) and (c) do riot apply to your *OMPIOYOes" for ObOdl war fir Wn* TTTR iN, ME 0 110. Mal I -UT UUJta5 III yVfl [A 51[JU provision does not ap;Ay ED -emp[Oyee5 Jain iumbti �T services or hPalth examinabims. 1. Under S. Exclusions, 1. Applicable to Business Uability Coverage, Exclusk)n IL Damage To Property, Is replaced by the follovvin� y ,k. Damage To PropeitV "Property damage' to', i . Property you oAfn, rent or occupy, including any rA-%t,.4 ot expemses incurrarl by you, or any other person, organbation or entity, for repair, replacement, enhancement, restoration or maintenance of such property ""Or any reason, including prevention of Injury to a person or damage to anothers property� 0�. Premises you give away or abandon, if the "property damage' allses out of any part of those prenllses� 3. Property loaned to you; 4. Personal property In the care, custody or control of the insured; 6. That particular part of any real property on which you or any contrac.tors owo r subcontractors rking directly or indir3clily in your behalf are performing operations, if the ,"property damage" arises out of those operafior% or 6. That particular part of any property that must be restored, repaired or replaced because "your work" was Incorrectly performed on it. Paragraph 2 of this exclusion does not apply if the preryiRamm are, "your work" and were never occupied, rented or field for rontal by you. Paragraphs 1, 3, a id 4, ofthis exclusion do not apply to "property damage" (other than darnage by fire or explosion) to premises: (1) rented to you- (2) temporarily oc(31pied by you with the permission of the owner, or (3) to tho contents of prernises rented to you for a period of 7 or fewer consecutive days, A separate lirnit of nsurance applies to Damage'ro Premises Rented To You as descrlbe%d in Section D - Liability and Medical Expenses limits of Insurance. Paragraphs 3, 4, 5, and 6 of this exclusion do not, apply to liability aSSLAMed Linder a sidetrack agreamerit. Paragraph 6 of this exclusion does ciot apply to "property damageft Included in the "Products - NNW completed operat ons hazard," am WWOW 1 Under S. Exclusions, 1. Applicable to Business Liability Coverage, the foikywing paragraph Is added, and MWE replaces the sinrliar I. - crag raph, if any, beneath paragraph (14) of the exclusion entitled Personal and Advertisling Injury: Exdusions c, d, e, f, V h, I, k, 1, rn, n, and o, do not apply to damage by fire to premises while) rented to you or ternporarfly Occupied by you vAth permission of the owner or to the contents of premises rented to you for a period of 7 or fewer cc risecutive days. A s "p rate limit of insurance applies to this coverage as described in Section 0. Liatill" And Medical Expenses Umits Of Insurance. ----- RA Management Division REVIEWED & APPROVED BY. Copyright, CNA Ail Rk;hts Retemed. Aezv4i�, Risk Management Specialist I The first Paragraph uncer item S. Damage To Promises Rented To You Limit of the section entitled Liability And Medical E,cpenses Limits Of Insurance is replaced by the,, following: The most we will pay Lnder BuOie%s Liability fur damages because of "property damage" to any one premises, wfile rented 1D you or temporarily occupied by you with the permission of the owner, including contents of such preIII rented to you for a period of 7 or fewer consecutive days, Is the Damage to Premises Rented to You Limit. The Darnaqo to Premises Rented to You Urnit is the greater of. & $1,000,000-1 or b. The Damage to Premises Rented to You Limit shown in the Declarations, 1. Under Liability and Metical Expenses Definitions, the definition of "personal and advertising Injury" is amended to add ft folk vAng� III Discrimination or, hu rillabon that results in injury to the feelings or reputation of a natural person, but onIly if such discrimination or luirridiation is: (1) Not done Intentlanally by or at the direction of (a) The insurer, , or (b) Any "execOve officer,"' director, stockholder, partner, member or manager (if you are 3 lirrlitOd liability, corr pany) of the insured" and (2) Not directly or ridirecAly rdated to the employment, prospective employment, past employment or termination of wnployrnent of any person or person by any insur ed 2. Under B. Exclusions, I Applicable to Business Liability Coverage, the exclusion entitled POV10"al and Advertising Injury is ariended to add the folkwAng additional exclusjorts CaUsed by discrinvii [ration directly or indirectly related to the sale, rental, lease or sub -lease or prospective sale, rental, lease In, sub -lease of any room, dwelling or premi.w�s by or at the direcliDn of any insured. M= Discrimination or h imillation directly or Indirectly related to the M*Ymeflt, prospective employment, past ernOoynWt 01 termination of employment of any person by any insured. mzzm=� Fines or penalties lovied or imposed by a govemmental entity because of discrimination, 3. This provision (Persorial and Advertising Injory — Discrimination or Humiliation) does not apply if Personal and Advertsing Injury Liability is excluded either by the provisions of the Policy or by endorsernent. Under Liability and Medical Expenses Definitions, the definition of �Personal and adverfising injury" amended to delete Paragral �h c, and replace it with the following � c. The wrongful eviction `rorn, wrongful entry into, or invasion of the right of private occupancy Of a dwelling or pre mises th at a person or organization occupies committed by or on behalf of Its owner, landlo or lessor. I All other terms and conrfifions of the Policy remain uru;harrged. ........ . . . RA Management DMslcn REVIEWED & APPROVED BY. CopyOghl, CNA AN Rights Rewwd, Aezv4�, Risk Management Specialist V NJ This encimsernent modifies insurancc provided under the following: BUSINESSOWNERS COMMON POLICY CONDITIONS Primary And Noncontributory Fisurance TWs insurance is primary to and will riot seek contribution from any other insurance available to an additional insured under your poilcy provided that: 1. The addRionat insured is a Nqrned Insured under such other insurance; and 2. You have agreed In whfing �n a c=tract or agreement that this insurance would be primary and wWd not seek contribution from any other it murance available to the additional Insured. All other terms and conditions of the I lolicy remain unchanged. CNA80103XX (09-14) Page I of I CsN)Vrk ft, CNA PW RiW* Rmerved. kK-,hxwq wpyrightee mawat of 1mrance aleowes Office, fnc, yvich hs Risk Mougmumt DMslcrn REVIEWED & APPROVED BY. Risk Management Specialist s BLANKET WAIVER OF SUBROGATION Architects, Engineers and Surveyors This endorsement modifies insuranoeprovided under ft following*, BUSINESSOWNERS LIABILITY 3OVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS A. Who ts An Insured Is arnendMlo include as an insured any person or organization whom you are required to add as an additional insured on this p0 cy under a written contract or written agrearnent; but Die written contract or written agreement must be'. I. Crrenfly in effect or becornanq effective during the term of this pohcy„ and 2. Executed prior to the* a. "Bodily Injury" or "prop Wy damage",, or b. Offense that caused the "personal and advertising Injury"; for which the additional in red seeks coverage B. The insurance provided to the additional insured is limited as fo4cws- 1. The person or organization Is an additional insured only with respect to fiatiflity for "'bodily Injury," "property damage" or "pemonal and irtiverfising Injury," caused in whole or In part by: a. 'Your acts or onilssbn% jr b. The acts or omissions u those acting cm your behalf, in the performance of your o igoing operations spe6fied in the written contract or written agreement; or c. "Your work" that is spcified in the written contract or written agreernerit, but only for "bodily Injury" or "'property damage" incNded in the "products -completed operations hazard," and only If: (1) The tten c(xitracl or written agreement requires you to provide the additkmal insured such coverage-, and 3MMMEM 1 The Limits of Insurance applicable to the additionW �nsured are those speased in the wrkten contract or written agroornent or in the Dedaraions of this poky, whichever is less. These UrniLs of, insurance are Inclusive of, and not in addition toi, the Limits )f Insurance shown in qie Declarations. 1 The Insurance provided to the additional insured does not apply to "bodily Injury," "property damage" or "personal and advertising njury" arising OUt of an architects, engineer's, orsurveyor's rendering of or fatfura to render any professk)nal aeN�ces lrwluding.- a. The preparing, approvirg, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change ordars, or draWngs and specifications by any architect, anineer or surveyor performing services on a project of Nhich you serve as construction rnanaqe!r; or b. inspection, superviisiori, quality control, engineering or architectural services done by you on a project of which you serve as (.ortntruction manager. 4. The Insurance provided to the additional insured does not apply to "bodily injury," "property damage" or "personal and advertising "ury" arlsing out of construction or dernolItort work white you are acting as a cx)nstruction or demcgition contraclor, S13146968C (Ld10-19) CA)pytU;ht, CNA AN MqhW Raamved, Risk Mougmumt DMslcn REVIEWED & APPROVED BY. Risk Management Specialist C. Under Businessowners Liablifit ( Conditions, the condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended to add the following, An additional insured under this (ndarsernent will as soon as practicablw 1. Give written notice of an oca irrence or an offense to us which may result In a claim or "sutr under this insurance', 2. Tender the defense, and inde mnity of any claim or "sult"to us for a loss we cover under this C overage Part', 3. Except as provided for in par ragraph D.2. hatow: a. Tender the defense and indernnity of any dairn or "suite" to arty other insurer which also has insurance for a loss we (x)ver under this Coverage Part, and b. Agree to make available any other bsurance which the additional insured has for a loss we cover under this Coverage Part. We have no duty to defend or in Jearnify an additional insured under this endorsement until we receIve written notice of a claim or "suft" from the additional insured. D. With respect only to the insura ice provided by this endorsement, the condition entitled Other Insurance of the BUST LESS COMMON POUCY CONDITIONS is amended to delete paragraphs 2. and 3, and replace them with the following: 2. This insurance is excess ovar, any other Insurance available to the additional insured, whettwir primary, excess, contingent or on any other basis, But if required by the written contract or written agreement, this insurance will be primary and nonoontributcry relative to insurance on which the additional Insured is a Named Insured. 3. When this insurance Is excess, we will have no duty Linder Business Liability inSUrance to deferxi the additional insured against. any "suit" if any other insurer has a duty to defend the additional Insured against that "Suit" If no other insurer defends, we w 11 undertake to do so, but we will be entitled to the additional Insured's rights against all those oftr Insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the foss, if any, that exceeds the sum of: (a) The total amount that Edsuch other insurance would pay for the loss in the absence of this insurance, and (b) The total of all de ductibi a and self -insured amounts under ail that other insurance. We will share the rernainhcj loss. If any, with any other Insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Umits, of Insure shown in the Declarations of this Coverage Part. E. Additional Insured — Extended Coverage When an additional Insured is added by, this or any other endorsement attached to this Coverage Part, the section entl0ed Who Is An Insured is amended to make the following natural persons Insureds: If the additional Insured is: 1. An individual, then his or her spouse Is an insured„ 2. A partnership or joint venturo, then Its partners, members and their spouses. are Insureds,- 3. A finilted ilabifity cornpany, t ten its members and manaigers are Insureds; 4An organization other than a partnership, joint venture or firnited RaWfity company, then its executive officerb, director's and shareholders iire Insureds, or 5. Any type of entity, then Its e nployees are insureds; but, only with respect to locationf and operations covered by the addftnal Insured endorsements provisions, and only with respecA to their respective riles within their organizatioons, Furthermore, employees of additional insureds are not insureds with respect to liability arising out of: (1) "Bodily Injury' or "personal and advertising Injury" to any fellow employee or to any natural person listed lit paragraphs 1. through 4. above; .... .. ..... Copydqht, GNA /41 tds Fieserved Risk Mougmumt DMslcn REVIEWED & APPROVED BY. Risk Management Specialist (2) "Property damage" to prope -ty owned, occupled or used by their employer or by any feflaw employee-, or (3) Providing or faffing to provide professional health care services. F. The oondition enttked Transfer of Rights of Recovery Against Others to Us of the BUSINESSOWNERS COMMON POUCY CONDITIONS is amend)d to deleted paragraph 2. and replace it with the Ulowing: 2. We waive any right of recovwy we may have against any person or organization with whom you have agreed to waive such right of recover,( in a written contract or agreernent because of payments we make for injury or damage arising cmit of yout ongoing operations or "your work" done under a contract with that person or orqanization and �ncfudad wihin the "products-cornpleted operations hazard," AD other torms and conditions of the Policy remain unOianged. RA Mougmumt DMslcn REVIEWED & APPROVED BY. Copydqtt, CNA N1 Rights ReservedAezv4�, Risk Management Specialist This endorsement modifies insairanco providwi Linder the folfoyAng: BUSS NESSOWNERS LIABILiTY COVERAGE FORM BUSINESSOWNElid COMMON POLICY CONDII IONS insurance is provided only with respect to those coverages for whicJi a SPOCifiC lifflit is shown: - - ------------ . ...................... Vito Uab . ........... ... - Ft-i7i wised A u t oJ7! (if no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) PROVISIONS A. COVERAGE With respect only to the Covernge(s) for which a Ilmh is shown in the SCHEDULE above, the insurance provided under Coverage A.I. Buslnesii Liability for "bodily injury" and "property damage" also applies to "bodily Injury" or "property damage" ahsing out eat the maintenance or use of a: • "Hired auto' used by you or your "amployee" in they course of your busine&.%; and/or • "Non-amied auto" used in Vie cours(a of your business. MaintAmance or use of a 'rion-owned auto" indudes test driving In connection with curl "auto business." With respect only to the coverage provided by fts endorsement, under Coverages, coverage A.I. Business Liability is amended to: 1. Delete paragraph AA.b.(I)(d) and replace it vAth the following: b. This Insurance appiles: (i) 10"bWily InjUryand "property damage" oNy It (b) The 'occurrence" occurs during the policy period, and 2. Delete paragraph A.I.b.(2),. 8. LIMITS OF INSURANCE W0 respect only to the coverage provided by this endorsement, SECTION D. Liability And Madical Expenses Limits of Insurance is deleted in its entirety and replaced voth the following., D. Limits Of Insurance 1. Regardless of the nurnher of: a. Insureds; b. Claims made ear "saints'" brought; o. Persons or organizattons making dairris or bringing "suits"i or MOM d. "Autos," the applicable Hired Au W Liability litnit or Non -Owned Auto Liability limit shown in the Dedarations is the most we will pay for damages under SECTION A. Coverages because of all "bodily injury" and "property daniage" resulting from any one "r=urrence" arising out of the maintenance or use of a "hired auto" or "non -owned aim auto." 14690213 (Ed. 6-16) .... ....... . . ....... - _.__.. - Page I of 3 RA Mougmumt Division REVIEWED & APPROVED BY. Copyright, CNA Aga R4ts Reserved. off,Aj,:z Aezv4�, Risk Management Specialist y S8146902G (Ed. 6-16) I 1j1W:VX*qW3f*1 With respect only to the insurano.- provided by this endorsement! 1. Under Exclusions, the paraqraph enfitleri Applicable to Business Liability C*verage I,-, amendod to delete exclusions except exclusions a., b, d., e., f, and 1. and to add the following exckjsions� I • Fellow Employee "Ek)dfly Injury" to'. (1) Any fellow "employce" of the insured arising out of and in the course of employment by the insured or while performing dufles related to the conduct of the insured" s business, or (2) The spouse, child, parent, brother or sister of that fellow "employee" while as a consecluence of paragraph (1) above. Care, Custody or Conti of "Property Damage" to" (1) Property awned or t6nq transported by, or rerted or loaned to the lnsuyeA; or (2) Property in the care, custody or control of the Insured. FOINW,70#1101 U-j"JIMS With respect only to tl,* insurance provIded by this endorse rent„ Who Is An Insured is replaced by the followingl- Each of the following Is an insured under this insurance to the extent set forth below 1. You; 2. Sub)ecl to paragraph 3.c. b44ow, your "employee" while operating an "auto"' hired or rented under a contraot or agreement, with your penTli;slon, in that "emooyee's' name, while perfmming duties related to the conduct of your business, 1 Anyone else including any partner or "executive officee' of yours while using v4th your permission a "hired auto' or a "non -owned auto' except: a. The owner of lessee (of whorn you are a sublessee) of a 'Hrecl auto" or the owner or lessee of a "non -owned auto" or any agent Gr"emplioyee" of any such owner or lessee; b. Your "ernployee" if the cDvBred "auto' is owrw.d by that ""employee"" or a member of his or her household, c. Your "employee" if the covered ""auto"" IS leased, hired or rented by film or her or a member of his or her household under a lease or rental agreement for a perlod of 180 days or snore; d. Any partner or "'executive officerr" with respect to any "'auto" owned by such partner or officer or a member of his or her hcKisshold', a. Any partner or "execull,re officee'Grath respect lo, any "auto" leased or renta to such partner or officer or a member of his or her household Linder a lease or rental agreement for a pedod of 180 days or more; f. Any person while employed in or otherwise engaged in duties, in connecton with an *auto business," other than an "auto business" you operate; g. Anyone other than yoLr "employeas," partners, a lessee or borrower or any of their "empkyyees," while moving property to or fn im, a "hired auto" or a "non -owned auto", or 4. Any other, person or organizifion, but coly Wth resped to their liability bomuse of acts or omissions of an Insured under 1., 1 or 3. above. The Definiflon of -insured contra ct" in Section F — Definitions is amended by the addition of the foillawing excePtiorls to paragraph f.: i"B—1 4-6, 9--O?G(EdG-E-1 Page 2 of 3 RA Mougmumt DMslcn REVIEWED & APPROVED BY. Gopytight, CNA Aff RQft Reswved Aezv4�, Risk Management Specialist V NJ S8146902G CKA (Ed. 6-16) Paragraph f. does not include that part of any contract or agreement: * That perWris to the loan, lease or rental of an "aUtO" to you or any of your "employees," if the "auto" is loaned, leased or rented with a df Ne °; or * That holds a person or organization engaged in the Nisiness of transporting property by "auto" for hire harmless for your use of a covered "auto" over a mule or territory that person or organization is authorized to serve by Public authorfty, jn" rr ar Section F. Definitions is arnendetl by the addition of the followng definitions: a. "Auto Business" means the tusiness or occupation of selling, repairing,, servicing, storing or parking "autos," b. ftHired auto" means any "BUtV YOU or your "employee" lease, hire, rent or borrow In the course of your busine This does not Indudw I 1. Any "auto" you lease, hive or rent under a le or rental agreement for a period of 180 days or more, or IL Any "auto" you lease, hi-e, rent or borrow from any of your "employees," partners, stockholders, or members of their households, c. "Non -owned auto!' means a iy "autos" you do not. own, lease, hire, rent or borrow that are being used in the course and srope of your business at the time of the "occurrence," This includes "autos" owned by your "employees" or partners or nembers of their households but only while being used in the (murse and scope of your business at the firne of !he "occurrence," If you are. a sole proprietor, "non -owned auto" means any "autos* You do not own, lease, hire, rent or borrow (fiat are being used In the course and scope of your business or personal affairs at &w tirne of the voccurrence." G. With respect only k) the operat�on of a "hired auto" or "non -owned auto," Paragraph H, of the Businessowners Common Policy Conditions is doeted and replar.PA with the followingl- H. Other Insurance 9. Except for any liability &;sumed under an "insured contract" the insurance provided by Vita Coverage Form is excess over any other c.ollectible insurance. However, if your busing ss is the ";ry g, servicinq, repairing, parking or stoma of "autos," the insurance provided by this adorsoment 6- printary when (mvered "bodily Injury" or "property damage" arises, out of the operation of as customer'; "auto" by you or your "employee.' 2. When teals Coverage For rn and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay onf, i our share. Our share Is the proportion that the Limit of Insurance of our Coverage Form beers to the total of the limb of all the Coverage Forms and policies covering on the same basis. AN other terms and conditions of the f loficy remain unchanged. SB146902G (Ed. 6-16) Page 3 of 3 Copyright, CNA N1 Rqghts Resrovpd. RA Mougmumt DMslcrn REVIEWED & APPROVED BY. Risk Management Specialist V NJ ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/28/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd, Suite 230 CA 94549 CONTACT NAME: Maurice Thornton PHONE FAX A/C No Ext : 510-272-1476 A/C, No): E-MLafayette ADDRESS: CertsDesignPro@AssuredPartners.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Aspen American Insurance Company 43460 License#: 6003745 INSURED JAMEGAR-02 INSURER B : James Gartner & Associates Architects, Inc. 2036 North Broadway INSURERC: INSURERD: Santa Ana CA 92706 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1939517118 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE1:1 OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY ❑ PRO- JECT LOC ❑ PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A ProfessionalLiability AAAE10084204 6/9/2023 6/9/2024 Per Claim $2,000,000 Aggregate Limit $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: All Operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Administrative Services Division ACCORDANCE WITH THE POLICY PRC Attn: Fancine R. Villareal P- E RAMougmumtDMsiofl 20 Civic Center Plaza =f +REVIEWED&APPROVED BY. Ross Annex M-20 AUTHORIZED REPRESENTATIVE e Santa Ana CA 92702 a Ae United States 7k " 19-9—m-1"Risk Management Specialist @ 1988-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ACCOR " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01 /31 /2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER St Ted Bowersox 24681 La Plaza #360 -' � CONTACT Ted Bowersox NAME: HONateAw PAIL, No, o � 949-661-3200 FAX No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: State Farm Fire and Casualty Company 25143 Dana Point CA 926292568 INSURED INSURER B : INSURER C : JAMES GARTNER & ASSOCIATES ARCHITECTS INC INSURER D : 2036 N BROADWAY INSURER E : INSURER F : SANTA ANA CA 92706-2612 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD INSD SUB WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1OCCUR EACH OCCURRENCE $ DA AGE TENTED FIRM M SES Ea occurrence) $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY J Q LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 92-MW-G697-1 01/22/2024 01/22/2025 �/ PER OTH- X TAT TE ER $ E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF_ NOTICE WILL BE DELIVERED IN City of Santa Ana, Risk Management Division ACCORDANCE WITH THE POLICY PR( li;isie Managmlent Division 20 Civic Center Plaza a AUTHORIZED REPRESENTATIVE i f � REVIEWED & APPROVED BY: o1 A ', Santa Ana CA 92702 � r-w Disk Management Specialist ©1988-2015 ACORD l ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 2005 155279 205 01-19-2023 DATE (MM/DD/YYYY) AiIIC R" CERTIFICATE OF LIABILITY INSURANCE 6/6/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Maurice Thornton AssuredPartners Design Professionals Insurance Services, LLC PHONE FAX 3697 Mt. Diablo Blvd, Suite 230 1 JALC. blo.EXt 510-27 -1476 A/C No): Lafayette CA 94549A • � I s: i r c m ✓ INSUROR(S) AFFORQAG COVERAGE NAIC # License#: 6003 45 INSURER A : spen Ame*ican Insjtrance Company 43460 INSURED JAMEGA' �2 N R B 7 James Gartner & Associates Archi , Inc. A n-g /\ceved 2036 North Broadway INs ER C : Santa Ana CA 9270 'Llf • • • INSURER F : COVERAGES TI A F 49 1/ . n O. 01 7 fV'EVI MBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE l .67.J BELOW HAVI31 A44MAJ 4T4WI*0INSUNJDAAM%JVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TEF.M JR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE FIOCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT POLICY ❑ PRO- FLOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability AAAE10084205 6/9/2024 6/9/2025 Per Claim $2,000,000 Aggregate Limit $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Operations of the Named Insured. t_#am I IrItom I C r7ULUCrC 9_.1111t.CLL1A I IUIV OU Udy NUIIL& UI UaHL&lldllUll SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Administrative Services Division ACCORDANCE WITH THE POLICY PRC Attn: Fancine R. Villareal Tk�RA II�ESILIR'l ._ - 20 Civic Center Plaza REPRESENTATIVE f} . REVIEWED APPRc)v D By - AUTHORIZED. Ross Annex M-20 Santa Ana CA 92702 , law United States Risk Managementpeclallst ©1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD